CAJ | 학술논문

目的：探讨输尿管硬镜联合输尿管软镜治疗肾结石的临床应用价值。方法回顾性分析2012年1月至2013年5月Ⅰ期在输尿管硬镜下行钬激光肾结石碎石术,Ⅱ期行输尿管软镜碎石治疗肾结石48例患者资料。结果平均手术次数(2．7±0．5)次,平均手术时间(47±12)min,平均住院时间(6±1．9)d,I 期手术成功率为63．5%,碎石成功率94%。结论Ⅰ期输尿管硬镜下行钬激光肾结石碎石术,Ⅱ期行输尿管软镜碎石治疗肾结石,碎石成功率高,安全有效,降低输尿管软镜的损耗,大大降低医疗成本。
목적：탐토수뇨관경경연합수뇨관연경치료신결석적림상응용개치。방법회고성분석2012년1월지2013년5월Ⅰ기재수뇨관경경하행화격광신결석쇄석술,Ⅱ기행수뇨관연경쇄석치료신결석48례환자자료。결과평균수술차수(2．7±0．5)차,평균수술시간(47±12)min,평균주원시간(6±1．9)d,I 기수술성공솔위63．5%,쇄석성공솔94%。결론Ⅰ기수뇨관경경하행화격광신결석쇄석술,Ⅱ기행수뇨관연경쇄석치료신결석,쇄석성공솔고,안전유효,강저수뇨관연경적손모,대대강저의료성본。
Objective To investigate the value of ureteroscopic combined with flexible urteroscope for treatment on kidney calculi. Methods 48 cases who underwent ureteroscopic lithotripsy with holmium laser in the first stage and two-stage flexible urteroscopic lithotrity with holmium laser from January 2012 to May 2013 were analyzed. Results The mean operative times was (2. 7 ± 0. 5),the mean operating time was(47 ± 12) min,the mean hosptial stay was(6 ± 1. 9) days. The stone free rate were 63. 5% after first session,the two-stage stone free rate were 94% . Conclusion Ureteroscopic lithotripsy in the first stage with two-stage flexible urteroscope lithotrity is effective and safe. It can reduce loss of flexible urteroscope and cost of medical care.